Ana Railka de Souza Oliveira

Construction and validation of indicators and respective definitions for the nursing outcome Swallowing Status.

Este es un articulo de acceso abierto distribuido bajo los trminos de la Licencia Creative Commons Reconocimientoo Comercial CC CEsta licencia permite a otros distribuir remezclar retocar crear a partir de tu obra de modo no comercial a pesar de ue sus nuevas obras deben siempre mencionarte y mantenerse sin fines comerciales, no estan obliados a licenciar sus obras derivadas bajo las mismas condicionesCorrespondencia:Ana Railka de Souza OliveiraAv. Jamaris, 543, Apto. 255Bairro: MoemaCEP: 04078-001, Sao Paulo, SP, BrasilE-mail: ana.railka@gmail.comOBJECTIVE: to develop indicators for the nursing outcome Swallowing Status and the respective conceptual and operational definitions validated by experts and in a clinical setting among patients after having experienced a stroke. METHOD: methodological study with concept analysis and content and clinical validations. The Content Validation Index was verified for the scores assigned by 11 experts to indicators. Two pairs of nurses assessed 81 patients during the clinical validation: one pair used an instrument with definitions and the other used an instrument without definitions. The resulting assessments were compared using Intraclass Correlation Coefficient, Friedmans test, and Minimal Important Difference calculation. RESULTS: All the indicators, with the exception of the indicator Ability to bring food to mouth, presented Content Validation Index above 0.80. The pair using the instrument with definitions presented an Intraclass Correlation Coefficient above 0.80 for all the indicators and similarity was found in all the assessments, according to the Minimal Important Difference calculation. The pair using the instrument without definitions presented a low coefficient (ρ<0.75) for all the indicators. CONCLUSION: the results showed that greater uniformity and accuracy was achieved by the pair of nurses using the conceptual and operational definitions for the indicators of the nursing outcome Swallowing Status.; ;OBJETIVO: ; ; construir y validar por especialistas y clinicamente los indicadores para el resultado de enfermeria Estado de la deglucion y sus definiciones conceptuales y operacionales en pacientes despues de accidente vascular cerebral. ; ; ; ;METODO: ; ; estudio metodologico, con analisis de concepto y validaciones de contenido y clinicas. Se verifico el Indice de Validez de Contenido para las notas atribuidas por 11 especialistas a los indicadores revisados. En la validacion clinica, fueron examinados 81 pacientes por dos parejas de enfermeros, una usando instrumento con las definiciones construidas y la otra con instrumento sin definiciones. Las evaluaciones fueron comparadas por el Coeficiente de Correlacion Intraclase, test de Friedman y Diferencia Minima Significativa. ; ; ; ;RESULTADOS: ; ; exceptuando el indicador Captura del alimento, todos presentaron Indice de Validez de Contenido superior a 0,80. La pareja de enfermeros con instrumento conteniendo las definiciones construidas presento Coeficiente de Correlacion Intraclase superior a 0,80 para todos los indicadores y por el calculo de la Diferencia Minima Significativa hubo semejanza entre todas las evaluaciones. En la pareja que estaba sin las definiciones elaboradas, el coeficiente fue bajo (ρ ; ; ; ;CONCLUSION: ; ; los datos evidenciaron aumento en la uniformidad y precision entre las evaluaciones de los enfermeros al utilizar las definiciones conceptuales y operacionales para los indicadores del resultado de enfermeria Estado de la deglucion. ; ;

Clinical factors predicting risk for aspiration and respiratory aspiration among patients with Stroke.

5 PhD, Professor Doctor, Departamento de Enfermagem, Universidade da Integracao Internacional da Lusofonia Afro-Brasileira, Redencao, CE, Brasil.6 PhD, Profesor Asociado, Departamento de Enfermagem, Universidade Federal do Ceara, Fortaleza, CE, Brasil.7 PhD, Profesor Titular, Departamento de Enfermagem, Universidade Federal do Ceara, Fortaleza, CE, Brasil.

Fatores clínicos preditores do risco para aspiração e aspiração respiratória em pacientes com Acidente Vascular Cerebral

5 PhD, Professor Doctor, Departamento de Enfermagem, Universidade da Integracao Internacional da Lusofonia Afro-Brasileira, Redencao, CE, Brasil.6 PhD, Profesor Asociado, Departamento de Enfermagem, Universidade Federal do Ceara, Fortaleza, CE, Brasil.7 PhD, Profesor Titular, Departamento de Enfermagem, Universidade Federal do Ceara, Fortaleza, CE, Brasil.

Conhecimento produzido sobre os resultados da "Nursing Outcomes Classification - NOC": revisão integrativa

OBJECTIVE To identify the knowledge produced from the outcomes of the Nursing Outcomes Classification (NOC). METHOD A literature review using the integrative databases: Latin American and Caribbean Health Sciences (LILACS), US National Library of Medicine (PubMed), Cumulative Index to Nursing & Allied Health Literature (CINAHL) and Scopus Info Site (SCOPUS), during the months of August and September 2014. RESULTS The review consisted of 21 articles that addressed different issues: Translation and Cultural adaptation (4.77%); Applicability in clinical practice (33.33%); and, Validation (63.90%). Analysis of these articles showed that the knowledge produced from the Nursing Outcomes Classification includes translation and cultural adaptation, evaluation of applicability and validation of its items. CONCLUSION Considering the continuous evolution of this classification, periodic reviews should be carried out to identify the knowledge, use and effects of the NOC.Objetivo: identificar el conocimiento producido sobre los resultados da Nursing Outcomes Classification (NOC). Metodo: Se trata de una revision integradora realizada en las bases de datos: Literatura Latinoamericana y del Caribe en Ciencias de la Salud (LILACS), US National Library of Medicine (PUBMED), Cumulative Index to Nursing & Allied Health Literature (CINAHL) y Scopus Info Site (SCOPUS), durante los meses de agosto y septiembre de 2014. Resultados: se componen de esta revision 21 articulos que abarcaron: Traduccion y adaptacion cultural (4,77%); Aplicabilidad en la practica clinica (33,33%); y, Validacion (63,90%). Despues de analizar los articulos, el conocimiento producido por el NOC de resultados de enfermeria incluye la traduccion y adaptacion cultural, la evaluacion de aplicabilidad y la validacion de sus articulos. Conclusion: con la presentacion de continuo desarrollo, se sugiere llevar a cabo revisiones periodicas para identificar el conocimiento de la NOC.

El ambiente vivo, dinámico y complejo de cuidados en una Unidad de Terapia Intensiva

Este es un articulo de acceso abierto distribuido bajo los trminos de la Licencia Creative Commons Reconocimientoo Comercial CC CEsta licencia permite a otros distribuir remezclar retocar crear a partir de tu obra de modo no comercial a pesar de ue sus nuevas obras deben siempre mencionarte y mantenerse sin fines comerciales, no estan obliados a licenciar sus obras derivadas bajo las mismas condicionesCorrespondencia:Ana Railka de Souza OliveiraAv. Jamaris, 543, Apto. 255Bairro: MoemaCEP: 04078-001, Sao Paulo, SP, BrasilE-mail: ana.railka@gmail.comOBJECTIVE: to develop indicators for the nursing outcome Swallowing Status and the respective conceptual and operational definitions validated by experts and in a clinical setting among patients after having experienced a stroke. METHOD: methodological study with concept analysis and content and clinical validations. The Content Validation Index was verified for the scores assigned by 11 experts to indicators. Two pairs of nurses assessed 81 patients during the clinical validation: one pair used an instrument with definitions and the other used an instrument without definitions. The resulting assessments were compared using Intraclass Correlation Coefficient, Friedmans test, and Minimal Important Difference calculation. RESULTS: All the indicators, with the exception of the indicator Ability to bring food to mouth, presented Content Validation Index above 0.80. The pair using the instrument with definitions presented an Intraclass Correlation Coefficient above 0.80 for all the indicators and similarity was found in all the assessments, according to the Minimal Important Difference calculation. The pair using the instrument without definitions presented a low coefficient (ρ<0.75) for all the indicators. CONCLUSION: the results showed that greater uniformity and accuracy was achieved by the pair of nurses using the conceptual and operational definitions for the indicators of the nursing outcome Swallowing Status.; ;OBJETIVO: ; ; construir y validar por especialistas y clinicamente los indicadores para el resultado de enfermeria Estado de la deglucion y sus definiciones conceptuales y operacionales en pacientes despues de accidente vascular cerebral. ; ; ; ;METODO: ; ; estudio metodologico, con analisis de concepto y validaciones de contenido y clinicas. Se verifico el Indice de Validez de Contenido para las notas atribuidas por 11 especialistas a los indicadores revisados. En la validacion clinica, fueron examinados 81 pacientes por dos parejas de enfermeros, una usando instrumento con las definiciones construidas y la otra con instrumento sin definiciones. Las evaluaciones fueron comparadas por el Coeficiente de Correlacion Intraclase, test de Friedman y Diferencia Minima Significativa. ; ; ; ;RESULTADOS: ; ; exceptuando el indicador Captura del alimento, todos presentaron Indice de Validez de Contenido superior a 0,80. La pareja de enfermeros con instrumento conteniendo las definiciones construidas presento Coeficiente de Correlacion Intraclase superior a 0,80 para todos los indicadores y por el calculo de la Diferencia Minima Significativa hubo semejanza entre todas las evaluaciones. En la pareja que estaba sin las definiciones elaboradas, el coeficiente fue bajo (ρ ; ; ; ;CONCLUSION: ; ; los datos evidenciaron aumento en la uniformidad y precision entre las evaluaciones de los enfermeros al utilizar las definiciones conceptuales y operacionales para los indicadores del resultado de enfermeria Estado de la deglucion. ; ;

Construção e validação dos indicadores e suas definições para o resultado de enfermagem Estado da deglutição

Este es un articulo de acceso abierto distribuido bajo los trminos de la Licencia Creative Commons Reconocimientoo Comercial CC CEsta licencia permite a otros distribuir remezclar retocar crear a partir de tu obra de modo no comercial a pesar de ue sus nuevas obras deben siempre mencionarte y mantenerse sin fines comerciales, no estan obliados a licenciar sus obras derivadas bajo las mismas condicionesCorrespondencia:Ana Railka de Souza OliveiraAv. Jamaris, 543, Apto. 255Bairro: MoemaCEP: 04078-001, Sao Paulo, SP, BrasilE-mail: ana.railka@gmail.comOBJECTIVE: to develop indicators for the nursing outcome Swallowing Status and the respective conceptual and operational definitions validated by experts and in a clinical setting among patients after having experienced a stroke. METHOD: methodological study with concept analysis and content and clinical validations. The Content Validation Index was verified for the scores assigned by 11 experts to indicators. Two pairs of nurses assessed 81 patients during the clinical validation: one pair used an instrument with definitions and the other used an instrument without definitions. The resulting assessments were compared using Intraclass Correlation Coefficient, Friedmans test, and Minimal Important Difference calculation. RESULTS: All the indicators, with the exception of the indicator Ability to bring food to mouth, presented Content Validation Index above 0.80. The pair using the instrument with definitions presented an Intraclass Correlation Coefficient above 0.80 for all the indicators and similarity was found in all the assessments, according to the Minimal Important Difference calculation. The pair using the instrument without definitions presented a low coefficient (ρ<0.75) for all the indicators. CONCLUSION: the results showed that greater uniformity and accuracy was achieved by the pair of nurses using the conceptual and operational definitions for the indicators of the nursing outcome Swallowing Status.; ;OBJETIVO: ; ; construir y validar por especialistas y clinicamente los indicadores para el resultado de enfermeria Estado de la deglucion y sus definiciones conceptuales y operacionales en pacientes despues de accidente vascular cerebral. ; ; ; ;METODO: ; ; estudio metodologico, con analisis de concepto y validaciones de contenido y clinicas. Se verifico el Indice de Validez de Contenido para las notas atribuidas por 11 especialistas a los indicadores revisados. En la validacion clinica, fueron examinados 81 pacientes por dos parejas de enfermeros, una usando instrumento con las definiciones construidas y la otra con instrumento sin definiciones. Las evaluaciones fueron comparadas por el Coeficiente de Correlacion Intraclase, test de Friedman y Diferencia Minima Significativa. ; ; ; ;RESULTADOS: ; ; exceptuando el indicador Captura del alimento, todos presentaron Indice de Validez de Contenido superior a 0,80. La pareja de enfermeros con instrumento conteniendo las definiciones construidas presento Coeficiente de Correlacion Intraclase superior a 0,80 para todos los indicadores y por el calculo de la Diferencia Minima Significativa hubo semejanza entre todas las evaluaciones. En la pareja que estaba sin las definiciones elaboradas, el coeficiente fue bajo (ρ ; ; ; ;CONCLUSION: ; ; los datos evidenciaron aumento en la uniformidad y precision entre las evaluaciones de los enfermeros al utilizar las definiciones conceptuales y operacionales para los indicadores del resultado de enfermeria Estado de la deglucion. ; ;

Factores clínicos predictores del riesgo para aspiración y aspiración respiratoria en pacientes con accidente cerebro vascular

5 PhD, Professor Doctor, Departamento de Enfermagem, Universidade da Integracao Internacional da Lusofonia Afro-Brasileira, Redencao, CE, Brasil.6 PhD, Profesor Asociado, Departamento de Enfermagem, Universidade Federal do Ceara, Fortaleza, CE, Brasil.7 PhD, Profesor Titular, Departamento de Enfermagem, Universidade Federal do Ceara, Fortaleza, CE, Brasil.

Effects of nasogastric catheterization in patients with stroke and dysphagia

This study aimed to analyze the effects of gastric intubation in patients with stroke and dysphagia. A systematic literature review was performed in six databases, using the keywords stroke and intubation, gastrointestinal. One hundred and twenty studies were found, from which three clinical trials were selected. The results showed different outcomes, including: increased serum albumin level (gastrostomy), poor prognosis and risk of death (gastrostomy), increased treatment failures because of blocking, displacement and reinsertion need of the nasogastric tube, and increased incidence of gastrointestinal bleeding (nasogastric tube). From the results obtained in this systematic review, we emphasize the following evidences: a nasogastric catheter should be adopted as a method of early enteral feeding; treatment failures are more common in those who use nasogastric tube-feeding; outcomes related to improved functional status of patients were similar, regardless of the method of nutritional therapy used.This study aimed to analyze the effects of gastric intubation in patients with stroke and dysphagia. A systematic literature review was performed in six databases, using the keywords stroke and intubation, gastrointestinal. One hundred and twenty studies were found, from which three clinical trials were selected. The results showed different outcomes, including: increased serum albumin level (gastrostomy), poor prognosis and risk of death (gastrostomy), increased treatment failures because of blocking, displacement and reinsertion need of the nasogastric tube, and increased incidence of gastrointestinal bleeding (nasogastric tube). From the results obtained in this systematic review, we emphasize the following evidences: a nasogastric catheter should be adopted as a method of early enteral feeding; treatment failures are more common in those who use nasogastric tube-feeding; outcomes related to improved functional status of patients were similar, regardless of the method of nutritional therapy used.

Efeitos da sondagem nasogástrica em pacientes com acidente cerebrovascular e disfagia

This study aimed to analyze the effects of gastric intubation in patients with stroke and dysphagia. A systematic literature review was performed in six databases, using the keywords stroke and intubation, gastrointestinal. One hundred and twenty studies were found, from which three clinical trials were selected. The results showed different outcomes, including: increased serum albumin level (gastrostomy), poor prognosis and risk of death (gastrostomy), increased treatment failures because of blocking, displacement and reinsertion need of the nasogastric tube, and increased incidence of gastrointestinal bleeding (nasogastric tube). From the results obtained in this systematic review, we emphasize the following evidences: a nasogastric catheter should be adopted as a method of early enteral feeding; treatment failures are more common in those who use nasogastric tube-feeding; outcomes related to improved functional status of patients were similar, regardless of the method of nutritional therapy used.This study aimed to analyze the effects of gastric intubation in patients with stroke and dysphagia. A systematic literature review was performed in six databases, using the keywords stroke and intubation, gastrointestinal. One hundred and twenty studies were found, from which three clinical trials were selected. The results showed different outcomes, including: increased serum albumin level (gastrostomy), poor prognosis and risk of death (gastrostomy), increased treatment failures because of blocking, displacement and reinsertion need of the nasogastric tube, and increased incidence of gastrointestinal bleeding (nasogastric tube). From the results obtained in this systematic review, we emphasize the following evidences: a nasogastric catheter should be adopted as a method of early enteral feeding; treatment failures are more common in those who use nasogastric tube-feeding; outcomes related to improved functional status of patients were similar, regardless of the method of nutritional therapy used.

Efectos de la cateterización nasogástrica en pacientes con accidente cerebrovascular y disfagia

This study aimed to analyze the effects of gastric intubation in patients with stroke and dysphagia. A systematic literature review was performed in six databases, using the keywords stroke and intubation, gastrointestinal. One hundred and twenty studies were found, from which three clinical trials were selected. The results showed different outcomes, including: increased serum albumin level (gastrostomy), poor prognosis and risk of death (gastrostomy), increased treatment failures because of blocking, displacement and reinsertion need of the nasogastric tube, and increased incidence of gastrointestinal bleeding (nasogastric tube). From the results obtained in this systematic review, we emphasize the following evidences: a nasogastric catheter should be adopted as a method of early enteral feeding; treatment failures are more common in those who use nasogastric tube-feeding; outcomes related to improved functional status of patients were similar, regardless of the method of nutritional therapy used.This study aimed to analyze the effects of gastric intubation in patients with stroke and dysphagia. A systematic literature review was performed in six databases, using the keywords stroke and intubation, gastrointestinal. One hundred and twenty studies were found, from which three clinical trials were selected. The results showed different outcomes, including: increased serum albumin level (gastrostomy), poor prognosis and risk of death (gastrostomy), increased treatment failures because of blocking, displacement and reinsertion need of the nasogastric tube, and increased incidence of gastrointestinal bleeding (nasogastric tube). From the results obtained in this systematic review, we emphasize the following evidences: a nasogastric catheter should be adopted as a method of early enteral feeding; treatment failures are more common in those who use nasogastric tube-feeding; outcomes related to improved functional status of patients were similar, regardless of the method of nutritional therapy used.